Are all appointments online or via telephone?
Yes. We believe that in current times, being able to access treatment from the comfort of your own home is the way forward. It provides access for those who live in remote areas or have physical limitations. Studies have shown that patients perceive the quality of care or communication in telemedicine to be the same or better than at the traditional office visits and almost one quarter said the quality of telehealthcare was better than an in-person appointment.
What are Bioidentical Hormones?
Bioidentical hormones are precise duplicates of the body’s own hormones. Taking these hormones is adding something that the body already recognises and knows how to metabolise. Conversely, conventional HRT usually includes hormone-like drugs that are not identical in structure do the body’s own, such as conjugated equine oestrogens or synthetic progestins. As well as binding to hormone receptors, these hormone-like drugs may bind to other receptors, causing unwanted side effects.
Bioidentical hormones may be prescribed in licensed standardised dose products, or unlicensed individually tailored doses to meet the individual’s needs, using a compounding pharmacy. All our patients have regular monitoring including breast screening, pelvic ultrasound screening and blood tests. Options will be discussed on an ongoing basis and the final decision of what feels right for you is always yours.
Synthetic progestins have been shown to have a negative impact on breast tissue, vasculature and cholesterol profiles whereas bioidentical progesterone has not been shown to do so. Bioidentical progesterone appears to have protective benefit for the breast, lower LDL cholesterol, lower blood pressure, act as a diuretic, and is safe to use during pregnancy. The BMS guidelines state that there is evidence that bioidentical progesterone is safer than synthetic progestins.
If bioidentical hormones are made up at an individualised dose for a person, this will be done by a compounding pharmacy. Individualised doses of medication are unlicensed.
Will you advise me on nutrition and supplements?
During your online consultations with Dr Arasu, she may also recommend relevant functional medicine tests, if there is a need to explore your symptoms further.
Our Registered Nutritional Therapist, Catherine, offers online personalised nutrition consultations.
How long do I stay on bioidentical hormones?
We will decide this issue with each patient individually. Circumstances may differ depending on age, symptoms and lifestyle factors.
How do I get my medication?
You can either get standardised licensed bioidentical hormones from a regular pharmacy or, if we are making up an individual dose for you, we use one of the following UK compounding pharmacies:
Customised 4U Pharmacy
0800 035 3078
020 7637 1055
What about tests?
We test hormone levels before prescribing and on an ongoing basis. The hormone testing that we do is not available on the NHS and please understand that we therefore will not ask the NHS to carry this out. If you have had blood tests done recently with your NHS GP please bring all recent/relevant test results with you to your appointment.
Blood tests or urine tests for hormones may be done when your symptoms have changed.
How long does it take to notice a difference?
Often when we start treatment, people will notice a difference within the first three weeks but give it up to 8 weeks – this is when we meet to review. However, sometimes it can take longer, in which case we will work closely with you to get the balance right.
I missed a few doses of hormones. What should I do?
Continue taking your hormones as you normally would. There is no need to take extra to compensate for the missed dose.
Do I need a referral from my GP?
No. A referral from your GP is not necessary. It is important that you are registered with an NHS GP though and London Bioidentical Hormones is always happy to write to your GP at any stage.
Which symptoms may this help with?
Treatment may help with the following symptoms:
If you have a problem that is not on this list and wonder if we can help, please contact us.
Will this be covered by my medical insurance?
London Bioidentical Hormones counts as a private general practice service. Bearing this in mind, please check with your insurer if you would be covered.
Please note that you would need to pay London Bioidentical Hormones in full and claim back the cost from your insurer.
Where can I give feedback?
We welcome all feedback from service users, whether it be positive or negative. We feel strongly that opinions expressed about our service are a valuable learning opportunity for us as a service provider.
Please contact us directly by e-mail on firstname.lastname@example.org if you have any complaints regarding any aspect of our service and the manager will respond to your email in 2 working days and we will resolve it as soon as possible and keep you updated in the process.
Are you registered with the CQC?
Yes, you can read the latest Care Quality Commission report for London Bioidentical Hormones on the CQC website.
You can download our Patients Guide here.